OTITIS MEDIA PREVENTION CAMPAIGN

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Baldric Smith
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1 OTITIS MEDIA PREVENTION CAMPAIGN

2 Otitis Media- Background Info A significant childhood illness Leading cause of physician visits Leading cause of hospital admissions Leading cause for the prescription of antibiotics Direct and secondary health care costs- High

of hospital admissions Leading cause for the

3 Complications of Otitis Media Hearing loss Speech delay Academic difficulties Affects the general well being of a child Although a serious concern, it is also a PREVENTABLE condition

4 Otitis Media Immature eustachian tube seals middle ear space. Resulting vacuum draws in clear fluid (effusion). Effusion is bacterial breeding ground. Results in painful infection, persistent hearing loss. Image from : Starkey Canada

5 Common Misconceptions Otitis media is not caused by swimming or water in the ear canal. Otitis media can t t be treated with ear drops or mineral oil in the ear canal (except to alleviate pain). Otitis media is not caused by, or does not cause, excessive ear wax in the ear canal.

Otitis media can t t be treated with ear drops or mineral oil in the

6 Focus on Prevention Can help to address a majority of causes of otitis media and can lead to Reduced visits to physicians office Reduced hospital admissions Reduced antibiotic use (and resistance) Reduced surgical tympanostomy tube insertion Overall Overall reduction of direct and secondary health care costs

admissions Reduced antibiotic use (and resistance) Reduced surgical

7 Campaign Goal To raise community awareness of the preventable risk factors for otitis media in the district of Thunder Bay through a media campaign from Fall 2005 to end of 2007

8 Campaign Objectives To increase knowledge among parents regarding the physiology of ear infections To increase knowledge among parents regarding lifestyle changes that can reduce the risk of ear infections To recruit 75% of pharmacies to participate in the distribution of campaign materials to parents

lifestyle changes that can reduce the risk of ear infections To recruit 75%

9 Target Audience Primary Parents Secondary - Community at large - Pharmacists - Health Care Providers

10 Cross Divisional Approach Healthy Families- Audiology/Family Health Environmental Health Tobacco Prevention Nutrition-CDP Vaccine Preventable Diseases Infectious Disease

11 Process Social Marketing /Communications planning framework Health Promotion Budget Request Brainstorming sessions Input from each team re: tag lines and messaging Pre- Survey and focus testing of materials

Brainstorming sessions Input from each team re: tag

12 Priority Areas of Focus Year 1 Second Hand Smoke Breastfeeding Immunization Year 2 Nutrition Hand Washing Antibiotic Resistance

13 CAMPAIGN MATERIALS CAMPAIGN MATERIALS Power Point Presentation Presentation Pharmacy Tear Off Pads Pharmacy Tear Off Pads Newspaper Newspaper Ads Website Website Radio Interview Radio Interview Free Publicity Posters Transit Shelters Transit Shelters Radio Ads Information Pamphlet Information Pamphlet Interior Bus Cards

Website Radio Interview Radio Interview Free Publicity Posters Transit Shelters

14 Breastfeeding

15 Immunization

16 Second Hand Smoke

17 Nutrition

18 Hand Washing

19 Antibiotic Resistance

20 Radio Ad Year 1 Breastfeeding Immunization Second Hand Smoke

21 Radio Ad Year 2 Hand Washing Nutrition Antibiotic Resistance

22 Information Pamphlet

23 Pharmacy Tear Off Pads

24 Newspaper Ads

25 DISPLAY

26 EVALUATION

27 Breastfeeding Formula and Breastfed Babies Have Same Number of Ear Infections? 90% 80% 75% 84% 70% 60% 50% 40% 30% 20% 25% 16% 2005 Pre 2007 Post 10% 0% TRUE FALSE

28 Immunization Children Who Are Vaccinated Tend to Have More Ear Infections? 120% 100% 80% 96% 97% 60% 40% 2005 Pre 2007 Post 20% 0% 4% TRUE 3% FALSE

29 Second Hand Smoke Children Exposed To Second Hand Smoke are More Prone to Ear Infections? 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 80% TRUE 91% 20% FALSE 9% 2005 Pre 2007 Post

30 Nutrition Children Who Eat Healthy Foods Have Less Ear Infections? 70% 60% 50% 40% 30% 47% 60% 53% 40% 2005 Pre 2007 Post 20% 10% 0% TRUE FALSE

31 Hand Washing Children With Poor Hand Washing Habits are More Prone to Ear Infections? 60% 50% 47% 56% 53% 44% 40% 30% 20% 2005 Pre 2007 Post 10% 0% TRUE FALSE

32 Antibiotic Resistance Most Ear Infections Get Better By Themselves? 80% 70% 60% 50% 71% 66% 40% 30% 29% 34% 2005 Pre 2007 Post 20% 10% 0% TRUE FALSE

33 Evaluation ( continued) 2007 Website report Qualitative Immunization focus group report ( June 2007) My children had lots of ear infections which I don t think they would have got if we had received the vaccination (that fights ear infections). Other

34 LESSONS LEARNED

35 Next Steps Evaluate results of Post Survey Presentations/interviews/events Dissemination of otitis media campaign materials/lessons learned at a local and provincial level Continue cross program work Develop protocol with area physicians Potential to establish local otitis media clinic

36 CONTRIBUTORS Tiina Ahokas Health Promotion Carol Bold Health Protection Dr Bob Bannatyne Infectious Disease Bill Campbell Audiologist Lorraine Dixon Graphics Lynda Fraser Health Promotion Simon Hoad Tobacco Kim McGibbon Nutrition Laura Prodanyk Family Health/Breastfeeding Cherie Simons Family Health/Child Health Lee Sieswerda Epidemiologist Lyne Soramaki Family Health/Repro Jill Starkes Epidemiologist Ella Wiebe Family Health/Child Health

37 FOR MORE INFORMATION Lyne Soramaki RN, HBscN Thunder Bay District Health Unit Family Health Program Phone: (807)

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